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1
. Please indicate your level of agreement with the following questions.
Strongly Agree
Somewhat Agree
Neutral
Somewhat Disagree
Strongly Disagree
"There are major ethical issues in stem cell therapy."
*
Please indicate your level of agreement with the following questions. "There are major ethical issues in stem cell therapy." Strongly Agree
"There are major ethical issues in stem cell therapy." Somewhat Agree
"There are major ethical issues in stem cell therapy." Neutral
"There are major ethical issues in stem cell therapy." Somewhat Disagree
"There are major ethical issues in stem cell therapy." Strongly Disagree
"Stem cell therapy is still highly theoretical - a possibility, but impractical."
"Stem cell therapy is still highly theoretical - a possibility, but impractical." Strongly Agree
"Stem cell therapy is still highly theoretical - a possibility, but impractical." Somewhat Agree
"Stem cell therapy is still highly theoretical - a possibility, but impractical." Neutral
"Stem cell therapy is still highly theoretical - a possibility, but impractical." Somewhat Disagree
"Stem cell therapy is still highly theoretical - a possibility, but impractical." Strongly Disagree
"I'm not very interested in stem cell therapy."
"I'm not very interested in stem cell therapy." Strongly Agree
"I'm not very interested in stem cell therapy." Somewhat Agree
"I'm not very interested in stem cell therapy." Neutral
"I'm not very interested in stem cell therapy." Somewhat Disagree
"I'm not very interested in stem cell therapy." Strongly Disagree
2
. Please indicate your level of agreement with the following questions.
Strongly Agree
Somewhat Agree
Neutral
Somewhat Disagree
Strongly Disagree
"This meeting was very helpful and covered what I wanted to know."
*
Please indicate your level of agreement with the following questions. "This meeting was very helpful and covered what I wanted to know." Strongly Agree
"This meeting was very helpful and covered what I wanted to know." Somewhat Agree
"This meeting was very helpful and covered what I wanted to know." Neutral
"This meeting was very helpful and covered what I wanted to know." Somewhat Disagree
"This meeting was very helpful and covered what I wanted to know." Strongly Disagree
3
. Would you like to be kept informed about ongoing efforts to remove barriers to stem-cell therapy? If so, please leave your contact information. This is optional. You can leave this blank.
Would you like to be kept informed about ongoing efforts to remove barriers to stem-cell therapy? If so, please leave your contact information. This is optional. You can leave this blank.
Name:
Phone:
Email:
4
. What else would you like to know?
What else would you like to know?
5
. What else would you like us to know? Any feedback on your experience today?
What else would you like us to know? Any feedback on your experience today?
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